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4239 Mundy Mill Rd Oakwood GA 30566-2574 | |
(678) 517-5645 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 4239 Mundy Mill Rd, Oakwood, Georgia |
Authorized Official Name and Position | Madhavi Rayapudi (PROVIDER) |
Authorized Official Contact | 3526179649 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 920813 Peachtree Corners GA 30010-0813 Ph: (352) 617-9649 | 4239 Mundy Mill Rd Oakwood GA 30566-2574 Ph: (678) 517-5645 |
NPI Number | 1841053204 |
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Provider Enumeration Date | 01/30/2024 |
Last Update Date | 02/05/2024 |
Medicare PECOS PAC ID | 6103359997 |
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Medicare Enrollment ID | O20241031004143 |
Identifier | Type | State | Issuer |
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1841053204 | NPI | - | NPPES |
Provider Name | Madhavi D Rayapudi |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1215971668 PECOS PAC ID: 1557344363 Enrollment ID: I20040614000011 |
Oakwood Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3626 Old Oakwood Rd, Oakwood, GA 30566 Phone: 770-503-9285 Fax: 770-287-0477 | |